Michael Bagwell, ARNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-040392 Issued in AL

Practice address

950 N 14TH St
Beaumont, TX 77702-1111

Phone

(409) 898-6485

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epix Anesthesia of Alabama LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1629427059

  Nurse Anesthetist, Certified Registered

  NPD
• Gut PC

  • Gastroenterology Physician
  • Dothan, AL
  • NPI 1073566006
  NPD
• Gut PC

  • Anesthesiology Physician
  • Dothan, AL
  • NPI 1790201903

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Fort Walton Beach Anesthesia LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1538159652
  NPD (past)
• Ft. Walton Beach Anesthesia Services LLC

  • Anesthesiology Physician
  • Ft. Walton Beach, FL
  • NPI 1245443829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1679510895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021111",
            "telephone_number": "409-898-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021111",
            "telephone_number": "409-898-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "MICHAEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-040392",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "536442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PAR NUMBER",
            "identifier": "G3758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkash Bachani, MD
• Carla Coyte Badgett
• Crystal Bagby, LPC
• Heather Baggett, PT, DPT
• Kashi S Bagri, MD
• Marisol Bahena
• Lauren Bailey, PT, DPT
• Carla Baird, OT
• Douglas R. Bakeler, CRNA
• Ellen Baker

• Certified Registered Nurse Anesthetist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.